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Paper · arXiv

HealthCraft: A Reinforcement Learning Safety Environment for Emergency Medicine

Frontier language models are being deployed into clinical workflows faster than the infrastructure to evaluate them safely. Static medical-QA benchmarks miss the failure modes that matter in emergency medicine: trajectory-level safety collapse, tool misuse, and capitulation under sustained clinical pressure. We present HealthCraft, the first public reinforcement-learning environment that rewards trajectory-level safety under realistic emergency-medicine conditions, adapted from Corecraft. It is built on a FHIR R4 world state with 14 entity types and 3,987 seed entities, exposes 24 MCP tools, and defines a dual-layer rubric that zeroes reward whenever any safety-critical criterion is viola...

AuthorsBrandon Dent
Primary categorycs.LG
Published18 April 2026
Last updated at source18 April 2026
cs.LGcs.AIcs.CL
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